Advertisement

Infected myometrial hematoma due to malpositioned levonorgestrel intrauterine device: A case report

      Abstract

      This case report highlights serious permanent sequelae of a malpositioned levonorgestrel intrauterine device. Initial cervical injury resulted in fistula formation and large hematoma eventually requiring hysterectomy. Uterine depth less than 5.5 cm should prompt timely evaluation, and immediate replacement is not advised when there is concern for injury.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Contraception
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Kavanaugh ML
        • Pliskin E.
        Use of contraception among reproductive-aged women in the United States, 2014 and 2016.
        F S Rep. 2020; 1: 83-93https://doi.org/10.1016/j.xfre.2020.06.006
        • Eisenberg DL
        • Schreiber CA
        • Turok DK
        • Teal SB
        • Westhoff CL
        • Creinin MD
        • et al.
        Three-year efficacy and safety of a new 52-mg levonorgestrel-releasing intrauterine system.
        Contraception. 2015; 92: 10-16https://doi.org/10.1016/j.contraception.2015.04.006
        • Kho KA
        • Chamsy DJ.
        Perforated intraperitoneal intrauterine contraceptive devices: diagnosis, management, and clinical outcomes.
        J Minim Invasive Gynecol. 2014; 21: 596-601https://doi.org/10.1016/j.jmig.2013.12.123
        • Morozov VV
        • Reinert AE.
        Intrauterine device malposition at the internal iliac vessels.
        J Minim Invasive Gynecol. 2018; 25: 752https://doi.org/10.1016/j.jmig.2017.08.650
        • Zhou Y
        • Chen ZY
        • Zhang XM.
        Giant exophytic cystic adenomyosis with a levonorgestrel containing intrauterine device out of the uterine cavity after uterine myomectomy: a case report.
        World J Clin Cases. 2020; 8: 188-193https://doi.org/10.12998/wjcc.v8.i1.188
        • Koninckx PR
        • Ussia A
        • Adamyan L
        • Wattiez A
        • Gomel V
        • Martin DC.
        Pathogenesis of endometriosis: the genetic/epigenetic theory.
        Fertil Steril. 2019; 111: 327-340https://doi.org/10.1016/j.fertnstert.2018.10.013